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Individual

ALEXANDRA KEARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4000 W MICHIGAN AVE, LANSING, MI 48917
(517) 624-2395
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 599-2129

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/19/2018
Last updated
11/09/2018
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